Tynbil: Know the *real* price for healthcare services

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $446.68 / $1,995.26 / $4,677.35	Facility		$446.68	$1,995.26	$4,677.35
Aetna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $1,698.24 / $1,698.24 / $1,698.24	Facility	53	$1,698.24	$1,698.24	$1,698.24
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $208.93 / $630.96	Professional		$93.33	$208.93	$630.96
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $173.78 / $380.19	Professional		$81.28	$173.78	$380.19
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,380.38 / $1,905.46 / $23,442.29	Facility		$1,380.38	$1,905.46	$23,442.29
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $56.23 / $213.80	Professional		$51.29	$56.23	$213.80
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,630.27 / $2,691.53 / $57,543.99	Facility		$2,630.27	$2,691.53	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $363.08 / $446.68	Professional		$245.47	$363.08	$446.68
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $204.17 / $426.58	Professional		$104.71	$204.17	$426.58
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $467.74 / $1,548.82	Professional		$323.59	$467.74	$1,548.82
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $316.23 / $446.68	Professional		$194.98	$316.23	$446.68
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $691.83 / $1,621.81 / $2,884.03	Facility		$691.83	$1,621.81	$2,884.03
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $251.19 / $257.04	Professional		$100.00	$251.19	$257.04
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,000.00 / $1,659.59 / $5,248.07	Facility		$1,000.00	$1,659.59	$5,248.07
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $141.25 / $302.00	Professional		$51.29	$141.25	$302.00
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $131.83 / $1,412.54 / $4,168.69	Facility		$131.83	$1,412.54	$4,168.69
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $229.09 / $524.81	Professional		$93.33	$229.09	$524.81
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $575.44 / $1,122.02 / $3,467.37	Facility		$575.44	$1,122.02	$3,467.37
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $281.84 / $575.44	Professional		$281.84	$281.84	$575.44
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.75 / $114.82 / $331.13	Facility		$11.75	$114.82	$331.13
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $245.47 / $331.13	Professional		$20.89	$245.47	$331.13
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $575.44 / $1,584.89 / $3,890.45	Facility		$575.44	$1,584.89	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $208.93 / $416.87	Professional		$93.33	$208.93	$416.87

Pennsylvania rates for HCPCS 62323